RESUMO
Necrotizing fasciitis must be considered in a diabetic with cutaneous ulceration. A case report of limb salvage in a 48-year-old diabetic female with progressive necrotizing fasciitis is presented. Methods of early diagnosis including clinical signs, radiographs, and soft tissue biopsy of the involved extremity are reviewed. The microbiology of the disease is also discussed. A modification of the Orr technique using infrequent dressing changes in the management of necrotizing fasciitis is presented. In our case this resulted in preservation of life and a functional limb.
Assuntos
Diabetes Mellitus Tipo 1/complicações , Fasciite/cirurgia , Perna (Membro)/cirurgia , Tornozelo/patologia , Clindamicina/uso terapêutico , Desbridamento , Fasciite/tratamento farmacológico , Fasciite/etiologia , Feminino , Pé/patologia , Gentamicinas/uso terapêutico , Humanos , Pessoa de Meia-Idade , Necrose/tratamento farmacológico , Necrose/etiologia , Necrose/cirurgia , Penicilinas/uso terapêuticoRESUMO
A definitive surgical procedure for a giant cell tumor that combines metacarpal resection with an iliac bone graft and arthroplasty with a silicone rubber implant is proposed for the elderly patient. The results were encouraging in one patient who had a cosmetically and functionally acceptable hand and no evidence of recurrence.
